Transcatheter Aortic Valve Implantation: Experience of Sainte Clotilde Hospital in Reunion Island - World Journal of Cardiovascular Diseases

WJCD > Vol.9 No.10, October 2019

Transcatheter Aortic Valve Implantation: Experience of Sainte Clotilde Hospital in Reunion Island ()

HTML XML

Download as PDF (Size: 309KB) PP. 772-780

DOI: 10.4236/wjcd.2019.910069 703 Downloads 1,539 Views

Author(s)

Adam Ahamat Ali^1,2*, Christophe Pouillot³, Geoffrey Rambaud³

Affiliation(s)

¹Cardiology Department, Renaissance Hospital of N’Djamena City, N’Djamena, Chad.
²Faculty of Human Health Sciences of N’Djamena City, N’Djamena, Chad.
³Cardiology Department, Sainte Clotilde Hospital, Reunion Island, France.

ABSTRACT

Introduction: Degenerative aortic stenosis is the most common valvulopathy in developed countries. The implantation of a percutaneous aortic valve (TAVI) has taken an important place in the management of this valvulopathy. The objective of this work is to report the results of patients treated by TAVI by the team of Sainte Clotilde Hospital (Reunion Island). Patients and Methods: This was a descriptive retrospective study conducted from 01/10/2014 to 01/10/ 2017 in the Sainte Clotilde Hospital, Reunion Island. All patients who received TAVI for degenerative aortic stenosis were included in the study. Follow-up was completed until 31/08/19. Results: Forty-six (46) patients were included (sex ratio 0.53). The age was 82 (±7.5). Respectively, 56.5%, 21.7% and 6.5% of patients were diabetic [n = 26 (56.5%)], severe renal impairment [n = 10 (21.7%)] and hemodialysis [n = 3 (6.5%)]. All procedures were performed by femoral route under consious sedation. Edwards’ prostheses were used more often (93%), 100% Sapien 3, 6% of which were size 23. The primary success rate was 97.8% and the failure rate was 2% (deaths per procedure). The TAVI range of 0.66 ± 0.14 and 46.8 ± 15.5 against 1.48 ± 4.3 and 13.8 ± 5 in post TAVI. Severe pulmonary arterial hypertension (>60 mmHg) was observed in 21.7% of pre-TAVI patients compared to 4% in post TAVI patients. The overall rate of complications was 17% (n = 8). They were related to conductive disorders [6.5% (n = 3)], paraprosthetic leakage [2% (n = 1)], tamponade [2% (n = 1)], and hemorrhagic complications [6.5% (n = 3)]. Mean follow-up was 946 days (median = 1007.5 days), mean follow-up death rate was 30.4% (n = 14). The causes of death were non-cardiac in 57% (n = 8) of the cases. Conclusion: The TAVI results of the Sainte Clotilde Hospital Clinic are comparable to those observed in the literature.

KEYWORDS

Calcified Aortic Stenosis, Percutaneous Valve Replacement, Sainte Clotilde Hospital, Reunion Island

Share and Cite:

Ali, A. , Pouillot, C. and Rambaud, G. (2019) Transcatheter Aortic Valve Implantation: Experience of Sainte Clotilde Hospital in Reunion Island. World Journal of Cardiovascular Diseases, 9, 772-780. doi: 10.4236/wjcd.2019.910069.

Journals Menu

Follow SCIRP

	+1 323-425-8868
	customer@scirp.org
	+86 18163351462(WhatsApp)
	1655362766

	Paper Publishing WeChat

Journals Menu

Home

About SCIRP

Service

Policies